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MyOrthoSpineMDDr. Miguel Jimenez, MDEspañol

After a car accident

Do you need an X-ray after a car accident?

If you do, it is taken here. X-rays are done in the office at your appointment — not ordered, not scheduled somewhere else for next week.

An X-ray answers one question well: whether a bone is broken or out of position. That is worth settling early, and for a good number of people it is settled the same day they are seen.

Whether you need one is what the examination decides. This page explains what an X-ray shows, what it cannot show, and what happens if the answer turns out to be something an X-ray was never going to find.

A free consultation with Dr. Jimenez, within 24 hours. No referral needed, and the X-ray — if you need one — happens at the visit.

First — these need emergency care, not an appointment

Call 911 or go to the nearest emergency room if you have:

  • New or worsening weakness in an arm or leg
  • Numbness that is spreading
  • Loss of bladder or bowel control
  • New difficulty walking or keeping your balance
  • Severe or worsening headache, confusion, or repeated vomiting
  • Chest pain, difficulty breathing, or severe abdominal pain

What an X-ray shows, and what it doesn’t

Knowing the boundary is most of what makes the result useful to you.

Bone, clearly. Fractures, dislocations, and how the vertebrae are lined up. This is what an X-ray is for, and it is good at it. A clear film makes a significant fracture unlikely.

Soft tissue, barely at all. Ligaments, muscles, tendons, discs and nerves scarcely register. A torn ligament in the neck and an intact one look much the same on an X-ray.

Which is why a clear X-ray is not the end of it. It rules out one category of problem. If your symptoms point somewhere else — pain running down an arm or a leg, numbness, weakness — the next question is a different study, and a different conversation.

When an MRI is the study that answers it

X-rays are taken in the office

This is worth saying plainly because it is unusual. For most accident care, imaging means a referral, a second appointment at a second address, and then a wait to hear what it showed.

Here, if the examination calls for an X-ray, it is taken during the visit and Dr. Jimenez looks at it himself. You leave knowing whether something is broken, and knowing what the plan is either way.

An MRI works differently — it is done at an imaging centre, and Dr. Jimenez orders it after he has examined you.

If the emergency room already X-rayed you

Bring the report if you have it, and the images if you were given a disc or a link. If you don’t have them it isn’t a problem — we can work from what you tell us and request the records afterwards.

A clear X-ray from the emergency room is genuinely good news about fractures. It is also the most common reason people talk themselves out of being seen when something is still wrong, because “nothing showed up” gets heard as “nothing is wrong”. Those are not the same sentence.

My scan was clear and I still hurt

Who pays for an X-ray after a car accident?

For car accident care we don’t bill regular health insurance. An X-ray goes through whichever of the two paths fits you — self-pay, or a lien if you qualify, where the cost is settled later out of a settlement rather than out of pocket while your case is open.

It isn’t billed separately from the rest of your treatment, and it isn’t something to arrange before you get in touch.

Who pays for X-rays after a car accident

How to find out whether you need one

First, a phone call. Free, no referral, no appointment, within 24 hours. Tell us what happened and what you are feeling, and you talk it through with the surgeon, Dr. Jimenez .

Then, an appointment. The examination decides what imaging is worth doing. If that is an X-ray, it happens there and then.

What the 24 hours covers.

A response within 24 hours, and a phone conversation with Dr. Jimenez in that same window if you want one. An in-person appointment often follows quickly, but that depends on scheduling and we won’t name a specific day before we’ve spoken.

A free consultation with Dr. Jimenez, within 24 hours — five to ten minutes on the phone, and longer if it needs to be.

Questions people ask

Do I need an X-ray after a car accident?
It depends on what an examination finds, and that is a short conversation away. What usually points toward one is pain over a bone, pain that is worse when you put weight through something, or an injury where the mechanism suggests a fracture. If it is warranted, it is taken here at your appointment rather than booked somewhere else.
The ER already did an X-ray and said it was fine. Do I need another?
Usually not the same one. A clear X-ray is good information and it generally rules out the thing it was looking for. What it does not do is explain pain that is coming from a disc, a nerve or a ligament, because those barely register on an X-ray at all. That is a different question, and it has its own page .
Can you do the X-ray at my visit?
Yes. X-rays are taken in the office, so if that is what the examination calls for you do not leave and come back. An MRI is different — that is ordered after Dr. Jimenez has examined you, and it is done at an imaging centre.
Who pays for an X-ray after a car accident?
The same two ways as the rest of your care — self-pay, or a lien if you qualify, where the cost is settled later out of a settlement. Imaging is not billed separately from your treatment, and on a lien nothing is paid for it while your case is open. More about payment .
How soon after the accident should it be done?
If you have any of the emergency signs above, now, at an emergency room. Otherwise it is not a race. What matters more is being examined by someone who treats spine injuries, and that can start within 24 hours.
Do I need a referral?
No. You can contact the practice directly.

Start with the examination

An X-ray answers one question. Working out whether it is your question takes a few minutes with someone who treats spine injuries, and that can start within 24 hours.

A free consultation with Dr. Jimenez, within 24 hours — five to ten minutes on the phone, and longer if it needs to be.

Car accident injuriesBack and neck pain after a car accidentSymptoms worth having examined

Free consultation · within 24 hours

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